Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Epley's manoeuver can give satisfactory and long lasting relief of symptoms in patients with typical history of benign paroxysmal positional vertigo without nystagmus in Dix-Hallpike positional test.
OBJECTIVE:
To evaluate the effectiveness of Epley's manoeuver in those patients with typical history of benign paroxysmal positional vertigo without nystagmus in Dix-Hallpike positional test.
MATERIAL AND METHOD:
Ninety six patients with benign paroxysmal positional vertigo(37 of them males and 59 females).With Dix-Hallpike positional test 58 patients had nystagmus(objective benign paroxysmal positional vertigo) and 38 patients had no nystagmus (subjective benign paroxysmal positional vertigo), was carried out comparism of Epley s manoeuver in both groups.
RESULTS:
There was significant improvement of symptoms (87%) by Epley's manoeuver in patients who had benign paroxysmal positional vertigo without nystagmus.
CONCLUSION:
Epley's manoeuver can give good result in relieving of vertigo in patients with typical history of benign paroxysmal positional vertigo even if no nystagmus can be detected in Dix-Hallpike test.
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